Top Managed Care Executive jobs in Colorado

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Colorado, CO FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medication utilization, formulary management, and ensuring cost-effective pharmacy services. The ideal candidate will bring a deep understanding of managed care principles, a proactive approach to problem-solving, and a commitment to optimizing pharmacy outcomes within a managed care environment.

    Preferred Qualifications:
    PharmD degree from an accredited pharmacy program
    Previous experience in Pharmacy Benefit Management (PBM) or Managed Care
    Knowledge of formulary development and management
    State pharmacy license in good standing
    Strong analytical and data interpretation skills
    Excellent communication and negotiation abilities
    Familiarity with healthcare regulations and compliance standards
    Collaboration experience with healthcare providers, payers, and pharmaceutical manufacturers
    Proficiency in utilizing pharmacy management software and tools
    Active participation in relevant professional organizations
    Dedication to staying informed about industry trends and innovations

    Responsibilities:
    Collaborate with healthcare stakeholders to implement and optimize pharmacy benefit programs
    Conduct formulary reviews and assessments to ensure cost-effective and evidence-based medication choices
    Monitor and analyze pharmacy utilization trends, identifying opportunities for cost savings and improved patient outcomes
    Provide expertise in drug utilization management and prior authorization processes
    Stay informed about industry regulations, guidelines, and emerging trends in managed care pharmacy
    If you are a passionate and experienced pharmacist with a background in PBM or Managed Care, we invite you to join our dynamic team dedicated to advancing healthcare through innovative and cost-effective pharmacy solutions. Apply now to contribute to the future of managed care pharmacy.
  • 23 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Denver, CO FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 24 Days Ago

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1099 Sales Executive (Medical Device)
  • Top Tier Reps LLC
  • Denver, CO FULL_TIME
  • Salary: Commission-based with a performance bonusMedical device sales representatives are responsible for selling medical equipment to hospitals, health systems, doctor's offices, and clinics, Respons...
  • 2 Days Ago

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Managed Care Data Platform Manager
  • CommonSpirit Health
  • Englewood, CO FULL_TIME
  • Overview* CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-base...
  • Just Posted

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IT Specialist
  • Executive Park Eye Care
  • Colorado, CO PART_TIME
  • Job Overview: We are seeking a part-time, as needed, IT specialist for analysis and support of operations at a small medical practice. The ideal candidate will be responsible for maintaining our IT in...
  • 6 Days Ago

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Personal caregiver
  • Executive Home Care of Front Range
  • Highlands, CO FULL_TIME
  • Benefits : Competitive salary Flexible schedule Training & development As a Personal Care Worker at Executive Home Care of the Front Range, you will play a pivotal role in providing essential personal...
  • 9 Days Ago

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Director OF Clinical Services (Center-Based)
  • Centria Autism
  • Phoenix, AZ
  • Centria Autism is the largest provider of Applied Behavior Analysis (ABA) for children with Autism Spectrum Disorder (AS...
  • 6/12/2024 12:00:00 AM

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Health Systems Engineer
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Health Systems Engineer
  • Sanford Health
  • Fargo, ND
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Chief Operating & Experience Officer, Health Plan
  • Sanford Health
  • Sioux Falls, SD
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Accreditation Specialist (Clinical)
  • Sanford Health
  • Fargo, ND
  • Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the Unite...
  • 6/12/2024 12:00:00 AM

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Director, Denial Management & Prevention - Relocation Offered!
  • MEDSTAR HEALTH
  • Baltimore, MD
  • General Summary of Position The Director, Denial Management & Prevention is responsible for directing and administering ...
  • 6/12/2024 12:00:00 AM

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Assistant Manager of Nursing Medical Surgical - Relocation Offered!
  • MEDSTAR HEALTH
  • Clinton, MD
  • General Summary of Position The Assistant Director of Nursing is a member of MedStar Health entity-based Division of Nur...
  • 6/12/2024 12:00:00 AM

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Assistant Manager of Nursing Float Pool - Relocation Offered!
  • MEDSTAR HEALTH
  • Clinton, MD
  • General Summary of Position The Assistant Director of Nursing is a member of MedStar Health entity-based Division of Nur...
  • 6/12/2024 12:00:00 AM

Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census. The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$216,272 to $383,700

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